Hematologic System Flashcards

1
Q

Anemia

definition

A

Decrease in number or function of RBCs

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1
Q

RBC function

A

Carry oxygen

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2
Q

Polycythemia

definition

A

Increase in number of RBCs

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3
Q

Site of formation of new blood elements in an adult

A

Bone marrow

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4
Q

Hematopoiesis

def

A

Formation of new blood elements

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5
Q

Site of hematopoiesis in the fetal period

A

Spleen
Liver
Lymph nodes

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6
Q

Role of spleen in adult

A

Filter out

infectious organisms
malformed, damaged, or old RBCs

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8
Q

How is RBC production stimulated?

A

kidneys secrete erythropoietin (EPO) stimulating the bone marrow to produce RBCs

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8
Q

Hematocrit

def, normal range

A

Percent of the blood that is RBCs

40-50% men
35-45% women

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9
Q

S/sx of anemia

A

TACHYCARDIA - effort to increase perfusion to the tissues
PALLOR - blood be shunted to brain, central organs
DOE - as a result of heart and lungs struggling to keep up with demand

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10
Q

Hemoglobin

def, normal range

A

Molecule of RBC that carries O2

14-18 g/dl men
12-16 g/dl women

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11
Q

RBCs are also known as

A

Erythrocytes

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12
Q

Serum Iron

normal range

A

50-150 mcg/dL

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13
Q

TIBC

stands for, normal range

A

Total Iron Binding Capacity

250-450 mcg/dL

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15
Q

MCV

def, normal range

A

Mean Corpuscular Volume

average volume and size of RBC

80-100 fl

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16
Q

MCHC

def, normal range

A

Mean Corpuscular Hgb Concentration

average hemoglobin concentration in RBC; “color”

32-36%

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17
Q

Low MCV

range, AKA

A

< 80 fl

aka MICROCYTIC

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18
Q

Normal MCV

range, AKA

A

80-100 fl

aka NORMOCYTIC

18
Q

Low MCHC

range, AKA

A

< 32%

aka HYPOCHROMIC

19
Q

High MCV

range, AKA

A

> 100 fl

aka MACROCYTIC

20
Q

Normal MCHC

range, AKA

A

32-36%

aka NORMOCHROMIC

21
Q

High MCHC

range, AKA

A

theoretically > 36%

but most texts agree there’s no such thing as HYPERCHROMIC

22
Q

Anemia pairs:

MICRO-cytic

HYPO-chromic

A

Iron deficiency anemia

Thalassemia

23
Q

Iron deficiency anemia

___ -cytic, ___ -chromic

A

MICRO-cytic

HYPO-chromic

24
Thalassemia | ___ -cytic, ___ -chromic
MICRO-cytic HYPO-chromic
25
Anemia pairs: MACRO-cytic NORMO-chromic
Folic acid deficiency Pernicious anemia
26
Folic acid deficiency | ___ -cytic, ___ -chromic
MACRO-cytic NORMO-chromic
27
Pernicious anemia | ___ -cytic, ___ -chromic
MACRO-cytic NORMO-chromic
28
Anemia pairs: NORMO-cytic NORMO-chromic
Anemia of chronic disease Sickle cell anemia
29
Anemia of chronic disease | ___ -cytic, ___ -chromic
NORMO-cytic NORMO-chromic
30
Sickle cell anemia | ___ -cytic, ___ -chromic
NORMO-cytic NORMO-chromic
31
Which anemias are characterized by a BIG BEEFY TONGUE? | aka GLOSSITIS
Folic acid deficiency Pernicious anemia
32
What's the only anemia characterized by neurological symptoms?
Pernicious anemia
33
What is the only anemia described as hemolytic?
Sickle cell anemia
34
What is the long name for vitamin B12?
Cyanocobalamin
35
What does serum ferritin represent?
The stores of iron in the CLOSET
36
RDW in iron deficiency anemia
increased
37
RCDW/RDW
Red Cell Distribution Width red cell size variation 11.5 - 14.5 % provides clues to differentiate between different anemias
38
RDW in thalassemia
slightly increased or normal
39
RDW in anemia of chronic disease
normal
40
What is a reticulocyte?
baby RBC
41
What is the normal range of reticulocytes in circulation?
1 - 2 %
42
What does reticulocyte count tell you?
provides information about the health of bone marrow and response to anemia